桡骨远端骨折经皮固定与掌侧内固定的回顾性比较
Retrospective comparison of percutaneous fixation and volar internal fixation of distal radius fractures.
作者信息
Lozano-Calderón Santiago A, Doornberg Job N, Ring David
机构信息
Orthopaedic Hand and Upper Extremity Surgery, Massachusetts General Hospital, Yawkey Center For Outpatient Care, Suite 2100, 55 Fruit St., Boston, MA, 02114, USA.
出版信息
Hand (N Y). 2008 Jun;3(2):102-10. doi: 10.1007/s11552-007-9078-7. Epub 2007 Sep 18.
A change in the practice of a single surgeon provided an opportunity for retrospective comparison of comparable cohorts treated with percutaneous fixation (17 patients) or a volar plate and screws (23 patients) an average of 30 months after surgery. The final evaluation was performed according to the Gartland and Werley and Mayo rating systems and the DASH questionnaire. There were no significant differences on the average scores for the percutaneous and volar plating groups, respectively: Gartland and Werley, 4 vs 5; Mayo, 82 vs 83; and DASH score 13 for both cohorts. Motion, grip, and radiographical parameters were likewise comparable. Volar internal plate and screw fixation can achieve results comparable to percutaneous fixation techniques in the treatment of fractures of the distal radius.
一位外科医生手术方式的改变为回顾性比较两组可比队列提供了机会，这两组队列分别接受了经皮固定（17例患者）或掌侧钢板螺钉固定（23例患者），平均术后30个月。最终评估根据Gartland和Werley以及Mayo评分系统和DASH问卷进行。经皮固定组和掌侧钢板固定组的平均得分分别如下，无显著差异：Gartland和Werley评分，分别为4分和5分；Mayo评分，分别为82分和83分；两组的DASH评分为13分。活动度、握力和影像学参数同样具有可比性。在桡骨远端骨折的治疗中，掌侧内固定钢板和螺钉固定可取得与经皮固定技术相当的效果。
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